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MB-2940 - USA (Texas) - Healthcare Enrollment Administration Services - Deadline April 30,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2940

Government authority located in Texas, USA; based organization looking for expert vendor for healthcare enrollment administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide healthcare enrollment administration services for health plan administration including network management, claims adjudication, utilization management, customer service, eligibility and enrollment, health maintenance organizations including responsible for medical and pharmacy benefits, their respective network management, claims adjudication, utilization management and customer service and pharmacy benefit management including administering the retail and mail service pharmacy program.
- Capacity to securely receive, store, transmit, and destroy electronic data containing Protected Health Information.
- Enrollment administration and billing processes
- Receives payments from COBRA policyholders directly and remits the funds to TRS on a monthly basis.
- Willing and able to work with TRS and TRS’ current and future HPAs, PBMs, HMOs, and consulting and audit firms to implement the requirements.
- Maintain records and the capability to report employee and employer contributions by district and individual employee.
- Capabilities for benefits administrators to read and reconcile monthly billings. - Capabilities for benefits administrators and TRS employees to view billing and coverage information.
(2) A pre-proposal conference will be held on March 27, 2019.
(3) All questions must be submitted in writing no later than April 3, 2019.
(4) Contract period will be two years.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 30 April, 2019

Pre-proposal Conference Date : Wednesday, 27 March, 2019

Question Answer Deadline : Wednesday, 3 April, 2019

Category : Medical Billing and Coding, Health and Related Services, Professional, Consulting, Administrative or Management Support Services

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

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